Organization
WEBSTERS PHARMACY INC
Active
Other names
WEBSTER'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRED WEBSTER RPH (PRES)
(706) 444-5296
Entity
Organization
Contact information
Practice address
12707 BROAD ST, SPARTA, GA 31087-1734
(706) 444-5296
(706) 444-9168
Mailing address
PO BOX 296, SPARTA, GA 31087-0296
(706) 444-5296
(706) 444-9168
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00138399A
—
GA
01
—
2012788
PK
—
Enumeration date
08/31/2006
Last updated
11/04/2016
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